People generally believe that the lack of pleasure during sexual intercourse is the "patent" of women, but there are also a few men who claim to lack pleasure during ejaculation. Especially some men complain that their marital relationship is very harmonious, their family is full of family happiness, and they have had "pleasure" during ejaculation in the past few years, "reaching orgasm". But later, for some unknown reason, no feeling was left.
That is to say, they had the pleasure of ejaculation before, but later it disappeared, which should belong to secondary loss of ejaculatory sensation. As for those who have never experienced the pleasure of ejaculation, it seems that they should belong to primary ejaculatory loss. Their lives often remain unchanged, without illness, extramarital love, arguments, or work stress or changes. Even urogenital and psychiatric examinations have not been found, and doctors cannot explain this phenomenon. This is indeed a rare and interesting situation.
Although the patient's sexual desire is normal, they can have an erection, and they can also ejaculate, neurological issues cannot be completely ruled out. Most people equate "ejaculation" with "orgasm". In fact, there is still a certain difference between the two. Ejaculation is a reflex activity controlled by the spinal cord center. The orgasm is a kind of consciousness of the cerebral cortex to the sense of body triggered by ejaculation. In other words, ejaculation occurs in the spinal cord and the orgasm occurs in the brain, so the orgasm depends on the intact spinothalamic tract.
The only reasonable explanation for the loss of ejaculatory sensation is that the neurology injury has affected the specific neural channel responsible for orgasmic sensation, without harming other spinothalamic tracts, which can be caused by early or local multiple sclerosis injury.
Another possible physical cause is prostate hyperplasia, which can also reduce the sensation of orgasm. The so-called "splitting orgasm" refers to the complete ejaculation period but no contraction of the bulbocavernosum muscle at the base of the penis, which will result in no pleasure of semen overflow. Instead of the normal ejaculation of semen accompanied by rhythmic contraction of the bulbocavernous muscle segments.
A detailed understanding of the patient's sexual history, attitudes, traumatic experiences, and feelings of guilt about sex can help identify the psychological factors present. Conducting psychological analysis of deep inner conflicts often takes time and effort, and the therapeutic value is limited. When conducting sexual treatment, it is advisable to use more practical types of psychological treatment. At this time, not only should the patient be introduced to the various information they have already mastered, but also the relevant psychological factors should be directly addressed, And strive to resolve these issues as soon as possible.